Patient Plus Homehealth Care, Inc

In 21 of 151 assessments submitted for the last 12 months, the Agency failed to submit reports timely, resulting in a warning.

For 4 of 7 (Pts. #3, 4, 2 and 5) clinical records reviewed, the Agency failed to ensure care and services were provided as ordered by the Physician in the POC.

In 6 of 7 (Pts. #1, 6, 7, 2, 3 and 4) clinical records reviewed, the Agency failed to ensure documentation entered into the clinical record was legible and complete.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6, and 7) clinical records reviewed, the Agency failed to ensure the Pt./patient’s representative was informed of the services to be provided in writing, and the frequency of visits provided by each discipline.

In 4 of 7 (Pts. #1, 6, 7, and 5) clinical records reviewed, the Agency failed to ensure a referral was obtained to initiate service or that the initial assessment visit was done within 48 hours of receipt of the referral.

For 1 of 1 (Pt. #4) Pt. receiving wound treatment, the Agency failed to ensure that care and services provided were according to Physician orders.

In 5 of 7 (Pts. #1, 6, 7, 3 and 4) clinical records reviewed, the Agency failed to complete the assessment for Pneumonia and Influenza vaccines as required.

In in 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to provide information regarding the Clinical Manager (Director of Nursing) and their contact information.

In 3 of 3 (Pt. #5, 6 and 7) closed clinical records reviewed, the Agency failed to complete a discharge summary.

The Agency failed to document the patient and/or representative were notified of the Agency's transfer and discharge policy.

The Agency failed to ensure that clinical record documents were complete and appropriately authenticated.

The Agency failed to ensure Pts. were advised of the extent of their financial liability for care, and/or services before care was initiated.

The Agency failed to ensure that the PsOC included correct types of services required and correct list of all medications.

The Agency failed to ensure patients received interventions/services as ordered by the physician in the PsOC.